Provider Demographics
NPI:1760612238
Name:BRIDGING THE GAP HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:BRIDGING THE GAP HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDER
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-670-0293
Mailing Address - Street 1:7117 ALVERN ST
Mailing Address - Street 2:E318
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1823
Mailing Address - Country:US
Mailing Address - Phone:323-815-3476
Mailing Address - Fax:
Practice Address - Street 1:7117 ALVERN ST
Practice Address - Street 2:E318
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1823
Practice Address - Country:US
Practice Address - Phone:323-815-3476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CA657696251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health